The ADHD explosion : myths, medication, money, and today's push for performance

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Title:

The ADHD explosion : myths, medication, money, and today's push for performance

Author:

Hinshaw, Stephen P., author.

ISBN:

9780199790555

Physical Description:

xxxii, 254 pages : illustrations ; 25 cm

Contents:

The TNT fueling the explosion: Origins and costs of ADHD -- The nature and causes of ADHD: Where biology meets culture -- Diagnosing and treating ADHD: Do it right or pay the price -- The upward spiral of ADHD medications: Enhanced performance of potential for abuse? -- What a difference a state makes: How educational policy determines diagnosis and treatment -- The cost of ADHD: It's the economy, stupid -- ADHD and the media -- What's being said and what's being sold? -- ADHD around the world -- Beyond white, middle-class boys: Plus the stigma of ADHD -- The future of ADHD: Predictions, confusions, and conclusions.

Subject Term:

Attention-deficit hyperactivity disorder -- Treatment -- Finance.

Added Author:

Scheffler, Richard M.,

Summary:

Stephen Hinshaw, a distinguished psychologist, and Richard Scheffler, an eminent health economist, uniquely blend clinical wisdom, current science, medical and school policy, and global trends to debunk myths and set the record straight in The ADHD Explosion. They describe the origins of ADHD and its huge costs to society; the science behind its causes as well as medication and behavioral treatment; and the variation in diagnosis and treatment across the U.S. Dealing directly with stimulants as "smart pills," they describe the epidemic of medicalization, arguing that accurate diagnosis and well-monitored care could ease the staggering economic burden linked to ADHD. In innovative ways, they unravel the many poignant issues facing children, teachers, clinicians, and family members who contend with ADHD each day. The recommendations they make can improve the quality of life for those touched by ADHD and potentially improve the productivity and safety of all society.

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Library	Call Number	Status
Searching... Hardwood Creek Library (Forest Lake)	616.8589 HIN	Searching... Unknown
Searching... R.H. Stafford Library (Woodbury)	616.8589 HIN	Searching... Unknown
Searching... Stillwater Public Library	616.8589 HIN	Searching... Unknown

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Summary

Attention-deficit/hyperactivity disorder (ADHD) is one of the most controversial and misunderstood medical conditions today. With skyrocketing rates of diagnosis and medication treatment, it has generated a firestorm of controversy. Alarming questions have been raised about ADHD in recent years, including:* Why are one in nine children and adolescents in the U.S. now diagnosed with ADHD, with projected rates still rising?* Why are nearly 70% of those diagnosed with ADHD prescribed medication?* What is causing the fast-rising diagnosis and medication of adults? And why are over a quarter of all college students using stimulants for academic performance? * In some southern states, why are boys over 9 years old diagnosed at rates of almost one in three? * Can we trust the stories we read and hear about ADHD, even in major media outlets? * What is driving the current ADHD explosion - is it parents, doctors, schools, culture, the healthcare system, or Big Pharma? And will it end?Stephen Hinshaw, a distinguished psychologist, and Richard Scheffler, an eminent health economist, uniquely blend clinical wisdom, current science, medical and school policy, and global trends to debunk myths and set the record straight in The ADHD Explosion. They describe the origins of ADHD and its huge costs to society; the science behind its causes as well as medication and behavioral treatment; and the variation in diagnosis and treatment across the U.S. Dealing directly with stimulants as "smart pills," they describe the epidemic of medicalization, arguing that accurate diagnosis and well-monitored care could ease the staggering economic burden linked to ADHD. In innovative ways, they unravel the many poignant issues facing children, teachers, clinicians, and family members who contend with ADHD each day. The recommendations they make can improve the quality of life for those touched by ADHD and potentially improve the productivity and safety of all society.

Author Notes

Stephen P. Hinshaw, PhD, is Professor of Psychology at the University of California, Berkeley, and Vice-Chair for Psychology in the Department of Psychiatry at the University of California, San Francisco. Richard M. Scheffler, PhD, is Distinguished Professor of Health Economics and Public Policy in the School of Public Health and the Goldman School of Public Policy at the University of California, Berkeley. He holds the Petris Chair in Healthcare Markets and Consumer Welfare.

Reviews (1)

Publisher's Weekly Review

With 11% of American children receiving a diagnosis of Attention Deficit Hyperactivity Disorder and over two-thirds currently on medication, the authors aim to address the "alarming" misinformation, stereotypes, and "outright hostility" associated with the disorder and its treatment. The problem lies in our educational and healthcare practices, say Hinshaw, a professor of psychology, and Scheffler, a professor in the School of Public Health, both at the University of California, Berkeley. They explore the history of ADHD and its "mammoth cost level"-over $100 billion a year-as well as its biology and genetics, drug and behavioral treatment, the myth that ADHD is a problem of fidgety suburban boys, and the stark school and policy differences from state to state, illustrating the need for "careful evaluation and diagnosis, responsive treatment, use of multimodal interventions, and adequate monitoring of treatments." The stories of children and adults suffering with the disorder, however, make the best case for a nation's change in attitude and behavior. "Hard numbers are difficult to come by," the authors note, "but tens if not hundreds of thousands of kids" exist in a netherworld of chronic problems associated with ADHD. This powerful, fact-packed survey is complex, thought-provoking, and urgent. (Mar.) (c) Copyright PWxyz, LLC. All rights reserved.

David Mechanic

Foreword	p. xi
Acknowledgments	p. xvii
Introduction	p. xxi
The Reality of ADHD	p. xxiv
Essential Issues	p. xxv
Rising Rates of Diagnosis and Expanding Treatment	p. xxvi
ADHD: A Top 10 List	p. xxvii
1 The TNT Fueling the Explosion: Origins and Costs of ADHD	p. 1
Jose: "Immaturity that Might Last a Lifetime"	p. 1
From Then to Now	p. 4
Money: The Costs of ADHD	p. 11
2 The Nature and Causes of ADHD: Where Biology Meets Culture	p. 15
Becky: "Lost Opportunities"	p. 15
A Continuum, Not a Category?	p. 17
Symptoms, Problems, and Impairments: What Is ADHD?	p. 19
ADHD Across the Years	p. 21
Impairments	p. 23
Models and Causes	p. 26
Putting It All Together	p. 31
3 Diagnosing and Treating ADHD: Do It Right or Pay the Price	p. 33
Tommy: "Problems Everywhere"	p. 34
Performing the Evaluation	p. 35
Treatments for ADHD and Evidence for Their Effects	p. 40
4 The Upward Spiral of ADHD Medications: Enhanced Performance or Potential for Abuse?	p. 51
Ralph: "Miracle Cure"	p. 51
Skyrocketing ADHD Medications	p. 53
Stimulants and the Brain: Main Effects and Side Effects	p. 54
Reducing Problems or Enhancing Skills?	p. 56
Diversion and Neuroenhancement: Stimulants for Everyone?	p. 60
5 What a Difference a State Makes: How Educational Policy Determines Diagnosis and Treatment	p. 67
Jessie: "A New Home"	p. 67
A Tale of Two States	p. 69
Schools and School Policies Matter	p. 76
Other Laws Regarding Schools and ADHD	p. 80
6 The Cost of ADHD: It's the Economy, Stupid	p. 83
Frank: "Will It Always Be This Way?"	p. 83
Ever-Increasing Cost Escalation	p. 85
Benefits of the Spending	p. 89
Conclusion	p. 97
7 ADHD and the Media: What's Being Said and What's Being Sold?	p. 99
What Does the Public See and Hear?	p. 100
Advertisements and the Selling of ADHD Medications	p. 110
8 ADHD Around the World	p. 119
International Recognition and Diagnosis	p. 121
Treatment and Services for ADHD Around the World	p. 125
Differences Across Cultures and Nations: A Bird's-Eye View	p. 127
Economic Development and ADHD	p. 135
9 Beyond White, Middle-Class Boys-Plus the Stigma of ADHD	p. 137
Young Children	p. 138
Adults	p. 142
Girls, Women, and Minorities	p. 143
Stigma: Is ADHD Still a Source of Shame?	p. 147
10 The Future of ADHD: Predictions, Confusions, and Conclusions	p. 153
Weighing and Weighting the Evidence	p. 156
Predicting the Future	p. 161
Back to School	p. 164
What Can Be Done? The Bottom Line	p. 165
Notes	p. 171
References	p. 201
Index	p. 245

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